Codeine, Aspirin and Carisoprodol

  • Generic Name or Active Ingridient: Codeine
Drug Class: Codeine, Aspirin And Carisoprodol > Codeine > Opiate > Opioids > Opioid Agonist > Analgesic.

Uses

A doctor typically prescribes codeine, aspirin and carisoprodol to treat symptoms associated with acute, painful muscle or bone injury or illness. Symptoms include acute pain, muscle spasms and limited movement. This medicine combines an analgesic with a muscle relaxer to relieve pain and stiffness. Physicians usually prescribe this drug to be taken as part of treatment including rest, physical therapy and other measures to relieve symptoms. Learn More About Codeine, Aspirin and Carisoprodol Uses

Administration/Dosage

Codeine, aspirin and carisoprodol preparations are sold in pill form under the brand name Soma Compound with Codeine. Each tablet contains 200 mg of carisoprodol, 325 mg of aspirin and 16 mg of codeine phosphate. The tablet is a two-layer, yellow and white, oval-shaped tablet to be taken by mouth.

The recommended dosage of codeine, aspirin and carisoprodol preparations is 1 to 2 tablets, four times each day. The maximum daily dosage is 8 tablets in a 24-hour period.

Children 12 years and older may take this medication under the care of a pediatrician. Do not administer this drug to children under the age of 12 years.

Do not administer this or other products containing aspirin to a child or teenager who has the flu, chicken pox or viral infection. Aspirin is linked to a serious illness known as Reyes Syndrome. Do not administer a flu vaccine to a child or teenager taking codeine, aspirin and carisoprodol.

Take this medication with or without food. Take with a meal or a snack if codeine, aspirin and carisoprodol upsets your stomach.

Take codeine, aspirin and carisoprodol exactly as prescribed by your physician. If you miss a dose, take the missed dose as soon as possible. If it is nearly time to take another scheduled dose and you can tolerate the pain and muscle spasms, skip the missed dose and resume your normal schedule. Talk with your doctor if you have trouble adhering to your schedule or if the current prescription stops working to relieve your symptoms. Never take extra doses.

Do not take codeine, aspirin and carisoprodol for more than two to three weeks. Researchers have not yet established this drug's effectiveness for long-term use. Additionally, acute pain associated with most acute musculoskeletal injuries does not typically last for more than two to three weeks.

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Action

Trauma or illness injures the cells of your body. Injured cells release a protein known as a COX enzyme. COX enzymes produce prostaglandins. Prostaglandins serve many functions in the human body, including causing pain, inflammation and fever. Prostaglandins bind with pain receptors in nerve endings, sending specific information about the severity and location of the injury to your brain. Your brain responds by perceiving pain. Aspirin blocks the production of prostaglandin to reduce swelling and decrease pain. Codeine works by binding with pain receptors to send messages of euphoria to the brain. Your brain is unaware of the pain because prostaglandins cannot find enough receptors on which to bind, so the message of pain never reaches your brain. The pain is still there but your brain is oblivious to it. Carisoprodol is a muscle relaxant that works mostly in your brain stem and spinal cord, rather than directly on the muscles themselves.

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Precautions

Do not take codeine, aspirin and carisoprodol preparations if you are allergic to any active or inactive ingredient in the product, or if you are allergic to other opioids such as morphine or Oxycontin. Do not take this medication if you are allergic to other non-steroidal inflammatory drugs or to carbamate. An allergic reaction is a serious medical event that can deteriorate quickly into a life-or-death emergency without warning. Seek immediate medical help at the first symptom of an allergic reaction. Give the prescribing physician and pharmacist filling the prescription a list of all your allergies. Symptoms of an allergic reaction include difficulty breathing, hives and swelling of the face, lips, tongue or throat.

The prescribing physician may change your dosage or switch you to a medicine other than codeine, aspirin and carisoprodol if you have a history of certain medical conditions. Tell your doctor and pharmacist about any serious stomach or intestinal problems, such as bleeding, perforations or obstructions, caused by aspirin use. Let your healthcare provider know if you have ever had a history of bleeding or clotting disorders such as hemophilia. Notify your physician if you have ever experienced aspirin-induced asthma or if you have received a live vaccine, such as varicella or influenza, within the past six weeks.

Before taking codeine, aspirin and carisoprodol, tell your doctor if you have a history of ulcers, have recently had abdominal surgery, or decreased amounts of vitamin K in your blood. It is important that your physician knows if you have had the blood disease, porphyria.

Codeine, aspirin and carisoprodol may affect the outcome of some laboratory tests. Aspirin may affect urine glucose and ketones tests. Codeine may affect the liver function tests amylase and lipase for up to 48 hours after administration. Tell the ordering physician, receptionist scheduling the test and phlebotomist taking your blood and urine samples that you have used codeine, aspirin and carisoprodol.

This medication can make you drowsy or dizzy. It can also impair your ability to make decisions. Do not operate heavy machinery, drive a car or engage in risky behavior until you know how this medication affects you.

Drinking alcohol increases the risk for stomach bleeding associated with aspirin products. Tell the prescribing physician if you consume three or more alcoholic beverages each day.

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Warnings

This medication is a pregnancy Category C, which means researchers have not yet established if taking this preparation during pregnancy will harm an unborn child. Taking this medication in the last three months of pregnancy may cause harm to the fetus. Codeine, aspirin and carisoprodol are excreted into breast milk and passed along to the nursing baby. Do not breastfeed your baby while taking this medication.

You may experience unpleasant, flu-like withdrawal symptoms if you stop using this medication suddenly. Do not discontinue this medication unless directed to do so by a doctor. Take smaller doses further apart to wean yourself from codeine, aspirin and carisoprodol.

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Drug Interactions

Tell the prescribing physician and pharmacist filling the prescription if you have taken GHB, dabigatran, ketorolac, quinidine in the past six weeks. Notify your doctor before taking this medication if you are already taking anticoagulants such as Warfarin and Heparin or if you take NSAIDs like ibuprofen.

Codeine, aspirin and carisoprodol may interact with diabetes drugs to enhance hypoglycemia. Some medications, such as ammonium chloride, can raise the level of aspirin in the blood and increase the risk for aspirin poisoning. Aspirin may increase the potential for bleeding in patients taking anticoagulants. Corticosteroids may decrease the level of aspirin in the blood, reducing the effectiveness of this product.

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Side effects

You may experience minor side effects after taking any drug; most of these side effects are not serious and go away on their own. Contact your doctor if these side effects become intolerable. Common side effects include constipation, diarrhea, dizziness or drowsiness, headache and indigestion. You may also experience lightheadedness, nausea, mild stomach upset or abdominal pain or vomiting.

Seek immediate medical attention if you experience serious side effects. Codeine, aspirin and carisoprodol may cause serious gastrointestinal problems, such as stomach pain, vomit that looks like coffee grounds or black, tarry, or bloody stools. Serious respiratory side effects include wheezing, shallow or very slow breathing. Seek immediate medical assistance if you have blurred vision, fainting, fast heartbeat, severe or persistent dizziness, drowsiness, severe or persistent trouble sleeping. Some serious side effects feel like the flu, including fever, chills, or persistent sore throat. Contact emergency medical help if you suffer loss of coordination, ringing in the ears, seizures, tremors, unusual bruising or bleeding. Mood or mental changes such as agitation, depression, irritability are serious side effects.

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Overdose

Drug overdose is a medical emergency. If you suspect that you or someone you know has taken an overdose, immediately contact poison control center at 1-800-222-1222 or go to the emergency room. You can overdose on any component of a codeine, aspirin and carisoprodol product. Symptoms of codeine overdose includes pinpoint pupils and signs of central nervous system depression, which are drowsiness, slower heart rate, unclear speech, slow breathing, staggering and blurred vision. Other symptoms of codeine overdose are coma, respiratory failure and cardiovascular collapse. Aspirin overdose symptoms include headache, ringing in the ears or difficulty hearing, dim vision, dizziness, rapid breathing, thirst, nausea and vomiting. Other symptoms are delirium, mental disturbances and skin eruptions. A carisoprodol overdose is characterized by stupor, coma, shock, respiratory depression and even death.

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Abuse

Carisoprodol is not a controlled substance but it does carry a risk for abuse because of the pleasant sense of euphoria associated with relaxation of muscles. Codeine is a favorite among recreational drug users because of the way it gets them high. Abusers get codeine and carisoprodol by presenting or calling in fake prescriptions to pharmacies, going to multiple doctors or by stealing it. This drug is also available on the street.

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Withdrawal

You may develop physical or mental dependence on codeine or carisoprodol if you take large doses or for longer than two to three weeks. Physical dependence means your body needs that drug to feel normal; you experience uncomfortable, flu-like symptoms if you do not take the drug. Withdrawal symptoms are a normal, predictable physiological result of taking opioids and do not necessarily indicate criminal drug abuse. In fact, patients who take large doses of opioids to treat severe pain may develop drug dependence while in the hospital, only to experience withdrawal symptoms after arriving at home. Unless a patient make the cognitive connection between his symptoms and taking opioids, he may think he has caught the flu and suffer through withdrawal alone. If he does make the connection, however, he may begin to crave the drug because he knows taking it will relieve his withdrawal symptoms. Withdrawal symptoms may vary from person to person. One individual may be able to quit taking this drug on her own, while intense withdrawal symptoms may prevent another from quitting without the help of rehabilitation specialists. Tell your doctor if your withdrawal symptoms prevent you from quitting this drug. Healthcare providers recognize dependence and withdrawal symptoms as predictable, normal physiological responses to opioid use. Withdrawal symptoms are flu-like and include nausea, stomach cramps, trouble sleeping, chills and headache.

Detox

Drug dependence is a complex condition, frequently requiring the help of highly trained rehabilitation specialists to overcome. The most effective rehabilitative treatment programs address each aspect of the complicated syndrome of drug dependence, including overcoming withdrawal symptoms, cleansing the drug from your body and addressing any social issues that contribute to drug dependence. During detoxification, you will be given medication to detoxify and cleanse your body and your withdrawal symptoms. The more extensive rehabilitation programs include counseling and other supportive services to increase your chances of success. Rapid detox is a humane form of rehabilitative care that integrates state-of-the-art medical technology with personalized care. During rapid detox treatments, physicians administer anesthesia and sedatives along with detoxification medications. You sleep through the withdrawal process, blissfully unaware of the unpleasant withdrawal symptoms. When you awaken, you will have no memory of any physical discomfort associated with withdrawal. Learn More About Codeine, Aspirin and Carisoprodol Detoxification Programs

Storage

Keep codeine, aspirin and carisoprodol tablets at temperatures between 59 and 86 degrees Fahrenheit. Protect from moisture and light. .

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